2018 Fl Smmc Referral Quiz

30 Questions | Total Attempts: 174

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2018 Fl Smmc Referral Quiz

Referral Quiz


Questions and Answers
  • 1. 
    Select the scenario where the caller should be referred to DCF.
    • A. 

      • I want to request another Medicaid Gold Card.

    • B. 

      • I want to request transportation services.

    • C. 

      • I need to change my Primary Care doctor.

    • D. 

      • I have straight Medicaid and need to find a dentist.

  • 2. 
    "My baby was just born and I need to activate his Medicaid. Who should I call?"
    • A. 

      • DCF

    • B. 

      • SSA

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • The Health Plan

  • 3. 
    "Where can I get another Medicaid Gold Card?"
    • A. 

      • SSA

    • B. 

      • AHCA Medicaid Helpline

    • C. 

      • SMMC Help Line

    • D. 

      • DCF

  • 4. 
    "My name is Dr. Smith and I need to verify the Medicaid eligibility for Jon Doe.  Where do I call?"
    • A. 

      • SSA

    • B. 

      • AHCA Medicaid Helpline

    • C. 

      • Provider Needs Eligibility Information

    • D. 

      • DCF

  • 5. 
    "I just got married and need to change my last name. Who should I call?"
    • A. 

      • Office of Demographic Information

    • B. 

      • DCF/SSA

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • SMMC Help Line

  • 6. 
    In which scenario should  the caller be referred to the AHCA Medicaid Helpline?
    • A. 

      • I want to apply for Medicaid.

    • B. 

      • I want to change the name on my Medicaid case.

    • C. 

      • I need a list of providers that accept Straight Medicaid.

    • D. 

      • I have SSI and need to update my address.

  • 7. 
    "I'm enrolled in XYZ Health Plan (HMO) and need to change my doctor.  Who do I call?"
    • A. 

      • SMMC Help Line

    • B. 

      • Enrollees cannot change the doctor once enrolled.

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • XYZ Health Plan (HMO)

  • 8. 
    "I just lost my job and need to apply for medical and food assistance.  Who should I call?"
    • A. 

      • SMMC Help Line

    • B. 

      • DCF

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • Unemployment Office

  • 9. 
    "My purse was stolen and I need a new health plan card. Who should I call?"
    • A. 

      • DCF

    • B. 

      • Health Plan

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • SMMC Help Line

  • 10. 
    I need a list of doctors affiliated with my health plan.  Who should I call?
    • A. 

      • DCF

    • B. 

      • Health Plan

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • SMMC Help Line

  • 11. 
    "I live in a nursing home and they stopped providing breakfast, they have not given me my meds for 2 days, and they have not changed my wound dressing for over 2 days.  Who do I report this to?"
    • A. 

      • SSA

    • B. 

      • AHCA Medicaid Helpline

    • C. 

      • Abuse Hotline

    • D. 

      • APD

  • 12. 
    "I need to pick one of the Obamacare plans, where should I call?"
    • A. 

      • Department of Elder Affairs

    • B. 

      • Agency for Healthcare Administration

    • C. 

      • Social Security Administration

    • D. 

      • Affordable Care Act or Obama Care

  • 13. 
    Caller says: "My grandmother has passed and you all keep sending her letters about enrolling into a plan. Please stop, it makes me sad."  Where should you refer?
    • A. 

      • AHCA Medicaid Helpline

    • B. 

      • SSA or DCF

    • C. 

      • TPL Corrections

    • D. 

      • Medicare

  • 14. 
    Caller says: "I just moved from Miami to Leon County. I'm still covered under the Dade County health plan and need to get my prescriptions." Where should you refer the caller?
    • A. 

      • The Dade County MMA plan

    • B. 

      • The Leon county MMA plan

    • C. 

      • The AHCA Medicaid Helpline

    • D. 

      • Leon County Pharmacy

  • 15. 
    Caller says: "I am 85 years old and need to find out if I qualify for elderly services.  I heard the state can help older people with getting help in their home."  Where should you refer?
    • A. 

      • Department of Children and Families

    • B. 

      • Department of Elder Affairs

    • C. 

      • Agency for Persons with Disabilities

    • D. 

      • Elderly Foundation of America

  • 16. 
    Caller says: "Someone has been using my Medicaid card to get pain medication. The pharmacy said they have filled over 10 prescriptions for a strong pain medication I don't even take. Someone is pretending to be me! " Where should you refer?
    • A. 

      • Agency for Healthcare Administration

    • B. 

      • Social Security Administration

    • C. 

      • Medicaid Fraud Hotline

    • D. 

      • Provider Eligibility Helpline

  • 17. 
    Caller says: "I need to get a brochure of all plans available in my region, where can I get it?"
    • A. 

      • SMMC Website

    • B. 

      • Post Office

    • C. 

      • DCF Office

    • D. 

      • Clerk of Court Office

  • 18. 
    "I just found out that I 'm pregnant and I need to apply for Pregnancy Medicaid." Where should you refer?
    • A. 

      • Healthy Babies and Children

    • B. 

      • Florida Moms Association

    • C. 

      • AHCA Medicaid Helpline

    • D. 

      • Department of Children and Families

  • 19. 
    The caller states her child has autism and needs information on the APD waiver, where should you refer?
    • A. 

      • Department of Elder Affairs

    • B. 

      • Agency for Healthcare Administration

    • C. 

      • Department of Children and Families

    • D. 

      • Agency for Persons with Disabilities

  • 20. 
    The caller states they need another MediKids blue card.  Where should you refer?
    • A. 

      • MediKids

    • B. 

      • KidCare

    • C. 

      • DCF

    • D. 

      • SSA

  • 21. 
    The caller wants to find out if a mouth guard is covered under her plan for children's dental.  Where should you refer?
    • A. 

      APD

    • B. 

      • DCF

    • C. 

      • AHCA

    • D. 

      • Health Plan

  • 22. 
    The caller needs to find out about Medicare prescription coverage.  Where should you refer?
    • A. 

      • SSA

    • B. 

      • Medicare

    • C. 

      • DCF

    • D. 

      • AHCA

  • 23. 
    The caller needs to update a private insurance on their case.  Where should you refer?
    • A. 

      • SSA

    • B. 

      • DCF

    • C. 

      • AHCA

    • D. 

      • Third Party Liability

  • 24. 
    The caller has questions about how Share of Cost works, where should you refer?
    • A. 

      • SSA

    • B. 

      • AHCA

    • C. 

      • DCF

    • D. 

      • DOEA

  • 25. 
    The caller has questions about their Medicare Advantage Plan, where should they call?
    • A. 

      • SSA

    • B. 

      • DOEA

    • C. 

      • Medicare

    • D. 

      • AHCA

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